Lee, Kyu Chan
Lee, Kyu Chan is an sole proprietor health care provider with primary practice located at 4500 Stuart Ave # 9-34 , Columbia SC 29207-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lee, Kyu Chan can be contacted via phone (803) 751-0456.Contact Information
Primary practice address
4500 Stuart Ave # 9-34
Columbia SC 29207-5700
Phone: (803) 751-0456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | D0023629 | Maryland |
Profile Details
| NPI number | 1205813144 |
|---|---|
| LBN Legal business name | Lee, Kyu Chan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205813144 | NPPES |
| Maryland | MEDICAID | 397781100 |
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